The risk of success: cultural determinants of chronic disease and sexually transmitted infections among urban Chinese men

Uretsky, Elanah

doi:10.1093/heapro/daq066

Cited by 7 publications

(5 citation statements)

References 19 publications

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“…This finding is consistent with a population-based study in China ( 28 ) which found that unprotected commercial sex was more common among men who earned a high income, socialized often, and traveled frequently. Notably, our results also expand on previous ethnographic research on the exchanges between wealthy Chinese businessmen and government officials ( 29,30 ). In this work, Uretsky argues that the quest for economic and political success in China's transitional economy engaged upper-class men in the frequent practice of eating, drinking, and female-centered entertainment that contributed to their vulnerability to HIV/STI.…”

Section: Discussionsupporting

confidence: 84%

“…However, data from a population-based study in China ( 28 ) showed that unprotected commercial sex was more common among men who earned a high income, socialized often, and traveled frequently. Ethnographic research on the exchanges between wealthy Chinese businessmen and government officials similarly revealed that the quest for economic and political success in China's transitional economy engaged upper-class men in the frequent practice of eating, drinking, and female-centered entertainment that contributed to their vulnerability to HIV/STI ( 29,30 ). Because these studies were not specifically about migrants, it remains unclear whether their findings are applicable to other socioeconomic groups, including internal migrants.…”

Section: Introductionmentioning

confidence: 99%

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Networking Activities and Perceptions of HIV Risk Among Male Migrant Market Vendors in China

Wang

Muessig

et al. 2013

AIDS Behav

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HIV research among internal migrants in China has not fully explored the contexts and perceptions of “risk”. In 2011, urban markets in Liuzhou, China were mapped, and sixty male vendors, age 22 to 56, were selected for in-depth interviews on migration, social and family life, and perceptions and practices of sexual risk behavior. Participants were evenly divided among higher income shop and small stall vendors. All men were sexually active. Only the shop vendors reported non-marital sexual partners, including concurrent partners (n=15), commercial partners (n=10), and other sexual relationships (n=11). Shop vendors engaged in networking activities that facilitated commercial and non-commercial high-risk sex. Perceptions of HIV risk from commercial sex led some men to doubt the protective ability of condoms and rely on local (unproven) self-protection techniques. Networking activities played a role in high-risk sex and shaping migrants' risk perceptions and health practices. The networks created through these processes could also be used to facilitate health promotion activities.

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Section: Discussionsupporting

confidence: 84%

Section: Introductionmentioning

confidence: 99%

Networking Activities and Perceptions of HIV Risk Among Male Migrant Market Vendors in China

Wang

Muessig

et al. 2013

AIDS Behav

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“…There is considerable diversity in location and services in these centres, which range from low- or to mid-tier establishments offering massages, foot bath services or hair salon services to higher-class bars and hotels offering videos or karaoke, sauna and massages, bar and food services, and dance halls (Choi & Holroyd, 2007; Yi et al, 2010; Chen et al, 2012; Wang et al, 2012). For some patrons, visits to these centres are part of social rituals for conducting business, finding supportive networks, and socializing with friends (Uretsky, 2008, 2011; Choi, 2011). In some settings, especially in low- and mid-tier establishments, sex is overtly solicited, while in others, particularly in high-tier entertainment centres that are freestanding or located in five-star hotels, sexual services may be offered more covertly (Wei et al, 2004; Xia & Yang, 2005; Choi & Holroyd, 2007; Huang et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

What role does transactional sex play in the HIV/STI and reproductive health risk behaviour among high-tier entertainment centre workers in China?

Mantell

LeVasseur

Sun³

et al. 2015

Global Public Health

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China’s rapid economic growth over the last three decades has led to increased population wealth and the proliferation of entertainment centres where people can conduct business, relax and meet new people. Little is known about the sexual risk behaviours of employees at high-tier entertainment centres. This paper addresses this gap in knowledge by comparing HIV risk perception and sexual and reproductive health behaviours among female and male employees at three high-tier entertainment centres in two cities in China, comparing those who report a history of transactional sex to those who do not. In both cities, participants who reported a history of transactional sex were more likely than those without a history of transactional sex to report multiple sexual partnerships, more lifetime sexual partners, a history of STIs, having anal sex and/or recent abortions, and were more likely to perceive themselves to be at risk for STIs/HIV. However, risk behaviour was also high among those with no history of transactional sex. These findings highlight the need for targeted sexual and reproductive health initiatives for employees in these work settings.

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“…Drinking has become relatively normalized over the past three decades of industrialization, urbanization and globalization. Maintaining relationships in some groups requires the consumption of alcohol, raising concerns about the night‐time economy and the risks of HIV and heavy drinking in commerical sex . Meanwhile, industry consolidation and advertising have increased to expand the commercial alcohol market in China .…”

Section: Introductionmentioning

confidence: 99%

Health promotion interventions and policies addressing excessive alcohol use: a systematic review of national and global evidence as a guide to health‐care reform in China

Babor

Zeigler

et al. 2014

Addiction

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Aims Steady increases in alcohol consumption and related problems are likely to accompany China's rapid epidemiologic transition and profit-based marketing activities. We reviewed research on health promotion interventions and policies to address excessive drinking and to guide health-care reform. Methods We searched in Chinese and English language databases and included 21 studies in China published between 1980 and 2013 that covered each policy area from the WHO Global Strategy to Reduce the Harmful Use of Alcohol. We evaluated and compared preventive interventions to the global alcohol literature for cross-national applicability. Results In contrast with hundreds of studies in the global literature, 11 of 12 studies from mainland China were published in Chinese; six of ten in English were on taxation from Taiwan or Hong Kong. Most studies demonstrated effectiveness in reducing excessive drinking, and some reported the reduction of health problems. Seven were randomized controlled trials. Studies targeted schools, drink-driving, workplaces, the health sector, and taxation. Conclusions China is the world's largest alcohol market, yet there has been little growth in alcohol policy research related to health promotion interventions over the past decade. Guided by a public health approach, the WHO Global Strategy, and health reform experience in Russia, Australia, Mexico, and the USA, China could improve its public health response through better coordination and implementation of surveillance and evidence-based research, and through programmatic and legal responses such as public health law research, screening and early intervention within health systems, and the implementation of effective alcohol control strategies.

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The risk of success: cultural determinants of chronic disease and sexually transmitted infections among urban Chinese men

Cited by 7 publications

References 19 publications

Networking Activities and Perceptions of HIV Risk Among Male Migrant Market Vendors in China

Networking Activities and Perceptions of HIV Risk Among Male Migrant Market Vendors in China

What role does transactional sex play in the HIV/STI and reproductive health risk behaviour among high-tier entertainment centre workers in China?

Health promotion interventions and policies addressing excessive alcohol use: a systematic review of national and global evidence as a guide to health‐care reform in China

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